Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00116 | Date 13/09/2019 |
| Token No | SM/25-26/8964 11/10/2025 | Serial | 030 |
| Patient Name | Mrs. PUSPA MALAKAR | Contact No | 8697353380 |
| Address | 28/29 TARAPUKUR LANE,SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/80 mmHg | Weight | 49 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||